BENJAMIN M GENTRY (NPI# 1811246317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811246317 |
| Entity Type | Individual |
| Full Name | BENJAMIN M GENTRY |
| Credential | PA |
| Practice Address |
820 Saint Sebastian Way Suite 8a Augusta GA 30901-2643 |
| Practice Telephone | 7067226900 |
| Practice Fax Number | 7067225118 |
| Mailing Telephone | 7067226900 |
| Mailing Fax Number | 7067225118 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2346 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2346 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
820 SAINT SEBASTIAN WAY SUITE 8A |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017829 | Karen Ann Yeh | Specialist | 820 Saint Sebastian Way, Augusta, GA 30901-2643 | 2005-07-14 |
| 1386092559 | Penn Heart LLC | Internal Medicine | 820 Saint Sebastian Way, Ste 2b, Augusta, GA 30901-2643 | 2016-05-29 |
| 1144681651 | Barrington Bagwell | Registered Nurse | 820 Saint Sebastian Way, Ste. # 4c, Augusta, GA 30901-2643 | 2016-03-10 |
| 1538550116 | Kirsten E Sawyer | Physician Assistant | 820 Saint Sebastian Way, Suite 8a, Augusta, GA 30901-2643 | 2015-02-18 |
| 1912330804 | Umg Neurology, LLC | Hospitalist | 820 Saint Sebastian Way, #4-c, Augusta, GA 30901-2643 | 2013-08-14 |
| 1639501505 | Umg Endocrinology LLC | Internal Medicine | 820 Saint Sebastian Way, Ste. # 4-c, Augusta, GA 30901-2643 | 2013-08-02 |
| 1104258359 | Umg Cardiothoracic Surgery LLC | Internal Medicine | 820 Saint Sebastian Way, Ste. 6- B Pob1, Augusta, GA 30901-2643 | 2013-07-30 |
| 1396094744 | John Joseph Wallbillich Iv | Obstetrics & Gynecology | 820 Saint Sebastian Way, Suite 3-a, Augusta, GA 30901-2643 | 2012-08-30 |
| 1598029423 | Feroze Afzal | Psychiatry & Neurology | 820 Saint Sebastian Way, Suite # 400, Augusta, GA 30901-2643 | 2012-06-26 |
| 1275857856 | Csra Womens Health, LLC | Specialist | 820 Saint Sebastian Way, Suite 1b, Augusta, GA 30901-2643 | 2010-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1003164153 | Rachel Mccall Dawkins | Physician Assistant | Doctors Hospital of Augusta, 3651 Wheeler Rd., Augusta, GA 30909 | 2012-08-21 |
| 1447589379 | Donald Earl Maner Sr. | Physician Assistant | Ec3326 Laney Walker Blvd, Medical College of Georgia, Augusta, GA 30912 | 2009-12-24 |
| 1740515063 | Ashley Janae Thomas | Physician Assistant | 811 13th St Ste 11, University Professional Building 3, Augusta, GA 30901-2771 | 2009-10-04 |
| 1649292905 | Susan Marie Klein | Physician Assistant | Vamc 1 Freedom Way, Augusta, GA 30901 | 2006-07-24 |
| 1053339663 | Joseph Stanley Soparas | Physician Assistant | 1 Freedom Way # 291, Augusta, GA 30904-6258 | 2006-07-18 |
| 1083687024 | Jarrod John Henry | Physician Assistant | 12 Shuman Ave, Augusta, ME 04330-6020 | 2006-02-09 |
| 1841278363 | Julie A. Zale | Physician Assistant | 219 Capitol St, Suite 2, Augusta, ME 04330-6235 | 2006-01-04 |
| 1487255493 | Rachel Muehlfeld | Physician Assistant | 1701 Magnolia Way Ste 101, Augusta, GA 30909-9484 | 2020-11-05 |
| 1881291367 | Gilbert Lee Lewis Jr. | Physician Assistant | 127 Telfair St, Augusta, GA 30901-2590 | 2020-10-07 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.